OpenBilldrug price receipt

NADAC week of 2026-10-14

DESCOVY 200-25 MG TABLET

FDA nonproprietary name: emtricitabine and tenofovir alafenamide

For 30 tablets

Pharmacies pay

$2,248.24 filed

30 × $74.94147 per EA

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-06-29 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D paid

$2,165.76 filed

30 × $72.19217 per EA, Part D average

Medicare's price is not your price.

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18


The spread

0.96× estimated

Medicare paid about what pharmacies pay.

Part D averages every strength and form sold under “Descovy” / “Emtricitabine/Tenofov Alafenam” into one figure, so it is not specific to this NDC.

OpenBill calculation · DSD_PTD_RY26_P04_V10_DY24_BGM.csv + nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-06-29 (file of 2026-10-14, retrieved 2026-10-17) · Part D 2024-01-01 to 2024-12-31 (file of 2026-06-25, retrieved 2026-10-18)

Cost-plus estimate

$2,590.48 estimated

$2,248.24 + $337.24 (15%) + $5.00 fee per fill = $2,590.48

This is a model, not a price any pharmacy quoted. Shipping is not included. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-06-29 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

DESCOVY 200-25 MG TABLET is how the CMS NADAC file names this product. The FDA NDC Directory lists it as emtricitabine and tenofovir alafenamide, under the trade name “DESCOVY”.

FDA gives its dosage form as tablet and its route as oral.

The labeler, the company named on the label, is Gilead Sciences, Inc.

FDA lists it under 2 Established Pharmacologic Classes: Hepatitis B Virus Nucleoside Analog Reverse Transcriptase Inhibitor and Human Immunodeficiency Virus Nucleoside Analog Reverse Transcriptase Inhibitor.

The NADAC file of 2026-10-14 prices it under 2 NDCs (National Drug Codes).

NADAC classes it as a brand-name drug (rate-setting class B), and does not mark it as sold over the counter.

What pharmacies pay

Pharmacies pay $2,248.24 for 30 tablets (30 × $74.94147 per EA, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-06-29. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation code for it: 2, the latest survey was within 2% of the current NADAC, so the NADAC was carried forward from the previous file.

The NADAC of all 2 NDCs was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: those prices took effect on 2026-06-29. The file is new; the price is not.

All 2 NDCs

Other strengths, forms and brands

1 other product in the NADAC file shares the FDA nonproprietary name emtricitabine and tenofovir alafenamide with DESCOVY 200-25 MG TABLET.

ProductPharmacies pay per unitMedicare per unit
DESCOVY 120-15 MG TABLET
brand · tablet
$74.85402 per EA filed
eff. 2026-06-29
$72.19217 per EA filed
Part D 2024 average
DESCOVY 200-25 MG TABLET this page
brand · tablet
$74.94147 per EA filed
eff. 2026-06-29
$72.19217 per EA filed
Part D 2024 average

Part D is one average per brand and generic name, over every strength and form.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-06-29 · as of 2026-10-14 · retrieved 2026-10-17

Medicare Part D · DSD_PTD_RY26_P04_V10_DY24_BGM.csv · eff. 2024-01-01 to 2024-12-31 · as of 2026-06-25 · retrieved 2026-10-18

Compared with its class

The middle of its 2 NDCs’ NADAC prices is $74.94147 per EA filed.

Of the 28 other products in FDA’s Hepatitis B Virus Nucleoside Analog Reverse Transcriptase Inhibitor class priced per EA, 11 have a higher middle NADAC price and 17 a lower one. The one in the middle is BARACLUDE 0.5 MG TABLET, at $44.18654 per EA filed (eff. 2025-11-19).

Of the 28 other products in FDA’s Human Immunodeficiency Virus Nucleoside Analog Reverse Transcriptase Inhibitor class priced per EA, 11 have a higher middle NADAC price and 17 a lower one. The one in the middle is VIREAD 300 MG TABLET, at $40.6865 per EA filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2025-11-19, 2026-06-29, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

What Medicare paid

Medicare Part D paid $2,165.76 for 30 tablets, at an average of $72.19217 per EA in 2024 (2024-01-01 to 2024-12-31) for “Descovy” and “Emtricitabine/Tenofov Alafenam”, every strength and form sold under that name together (Medicare Part D Spending by Drug, file of 2026-06-25).

That average covers 238,782 Part D claims (fills, including refills) for 2024-01-01 to 2024-12-31, across every maker, strength and form under the name.

Medicare's price is not your price.

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

Questions

Why is the comparison with Medicare for DESCOVY 200-25 MG TABLET labelled estimated?
Beyond what the card shows, the records give these reasons: The Part D figure covers 2024-01-01 to 2024-12-31; the NADAC price is from the file of 2026-10-14. Part D spending basis, as the Part D record states it: Part D 2024 average spend per dosage unit for Descovy / Emtricitabine/Tenofov Alafenam: all makers, strengths, forms and routes combined, claim-weighted; gross cost incl. dispensing fees and patient pay, before rebates. Unit taken as NADAC's EA. Joined on brand name.